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unique form #3

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82 changes: 82 additions & 0 deletions Module 1 - HTML and CSS/Topic 16 - Forms/Forms - I/Unique form
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<html>
<head><title>Form</title>
</head>

<body>


<form method="get" enctype="application/x-www-form-urlencoded" action="/html/codes/html_form_handler.cfm">

<p>
<label>Name
<input type="text" name="customer_name" required>
</label>
</p>

<p>
<label>Phone
<input type="tel" name="phone_number">
</label>
</p>

<p>
<label>Email
<input type="email" name="email_address">
</label>
</p>

<fieldset>
<legend>Which taxi do you require?</legend>
<p><label> <input type="radio" name="taxi" required value="car"> Car </label></p>
<p><label> <input type="radio" name="taxi" required value="van"> Van </label></p>
<p><label> <input type="radio" name="taxi" required value="tuktuk"> Tuk Tuk </label></p>
</fieldset>

<fieldset>
<legend>Extras</legend>
<p><label> <input type="checkbox" name="extras" value="baby"> Baby Seat </label></p>
<p><label> <input type="checkbox" name="extras" value="wheelchair"> Wheelchair Access </label></p>
<p><label> <input type="checkbox" name="extras" value="tip"> Stock Tip </label></p>
</fieldset>

<p>
<label>Pickup Date/Time
<input type="datetime-local" name="pickup_time" required>
</label>
</p>

<p>
<label>Pickup Place
<select id="pickup_place" name="pickup_place">
<option value="" selected="selected">Select One</option>
<option value="office" >Taxi Office</option>
<option value="town_hall" >Town Hall</option>
<option value="telepathy" >We'll Guess!</option>
</select>
</label>
</p>

<p>
<label>Dropoff Place
<input type="text" name="dropoff_place" required list="destinations">
</label>

<datalist id="destinations">
<option value="Airport">
<option value="Beach">
<option value="Fred Flinstone's House">
</datalist>
</p>

<p>
<label>Special Instructions
<textarea name="comments" maxlength="500"></textarea>
</label>
</p>

<p><button>Submit Booking</button></p>

</form>

</body>
</html>